Monga mayi woyembekezera, mungakhalenso ndi mantha pang'ono komanso chidwi chofuna kudziwa za kubereka, sichoncho? Nthawi zina, ngakhale patatha nthawi yayitali kuchokera pamene kubereka kwayamba, pali nthawi zina zomwe chiberekero sichimakoka bwino. Nthawi zina, ngakhale tsiku lobadwa litafika, kubereka sikungayambe konse. Pazochitika zotere, mankhwala apadera otchedwa oxytocin amagwiritsidwa ntchito ndi madokotala kuti athandize kubereka. Amayi ambiri amachita mantha pang'ono akamva dzinali. Koma mukadziwa bwino lomwe kuti ndi chiyani, chifukwa chake amapatsidwa, komanso zomwe zingachitike nalo, mantha amenewo amatha. Tiyeni tikambirane za izi lero.
Kodi Oxytocin iyi ndi chiyani?
Mwachidule, oxytocin ndi mahomoni omwe amapangidwa mwachibadwa m'matupi athu. Amatchedwanso "hormone ya chikondi." Ndi mahomoni omwewo omwe amathandiza chiberekero kufinya (kufinya) panthawi yobereka komanso amathandiza mkaka kuyenda bwino poyamwitsa.
Komabe, nthawi zina kuchuluka kwa oxytocin komwe kumapangidwa ndi thupi sikukwanira. Pamenepo ndi pomwe mumapatsidwa oxytocin yopangidwa ngati jakisoni. Izi zili ndi zolinga ziwiri zazikulu:
1. Kuyambitsa kapena kufulumizitsa nthawi yobereka: Ngati chiberekero sichikulimba bwino patatha nthawi yayitali kuyambira pamene nthawi yobereka yayamba, mankhwalawa amaperekedwa kuti agwire ntchito bwino. Amagwiritsidwanso ntchito kuyambitsa nthawi yobereka ngati pakufunika kufulumizitsidwa chifukwa cha zifukwa zina zachipatala.
2. Kuletsa kutuluka magazi ambiri mwana akabereka: Nthawi zina mwana akabadwa, chiberekero sichimakoka bwino, zomwe zingayambitse kutuluka magazi ambiri. Ichi ndi vuto loopsa kwambiri. Choncho pofuna kupewa kapena kuchiza, jakisoni wa oxytocin uyu amaperekedwa kuti athandize chiberekero kukoka bwino ndikuletsa kutuluka magazi.
Mu zipatala za ku Sri Lanka, izi zimapezeka kwambiri pansi pa dzina la kampani ya `(Pitocin)`.
Ndi zinthu ziti zomwe muyenera kuuza dokotala musanamupatse mankhwala awa?
Oxytocin si mankhwala ogwiritsidwa ntchito pa matenda onse. Dokotala wanu ayenera kudziwa mbiri yanu yonse yachipatala asanasankhe kukupatsani mankhwala. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Mkhalidwe woti unenedwe | Kufotokozera (chitsanzo) |
|---|---|
| Zoopsa za kubereka mwachibadwa | Ngati kubereka m'mimba kuli koopsa chifukwa cha zifukwa monga khansa ya pachibelekero, matenda opatsirana a herpes m'mimba, kapena mutu wa mwana kukhala waukulu kuposa chiuno cha mayi. |
| Malo a mwana, placenta, kapena chingwe cha umbilical | Ngati mwana watsegula m'mimba, placenta imakhala pansi pa chiberekero (placenta previa), kapena pali vuto la chingwe cha umbilical. |
| Opaleshoni ya chiberekero yapitayi | Ngati mudachitidwapo opaleshoni ya cesarean kapena opaleshoni ina pa chiberekero. |
| Mimba yambirimbiri | Ngati mwaberekapo ana kangapo kale (nthawi zambiri ana opitirira 5). |
| Kulimbikitsa kwambiri chiberekero | Ngati chiberekero chayamba kale kukhala cholimba kwambiri kapena chikuvutika ndi kupweteka kwa minofu pafupipafupi. |
| Matenda a ziwengo | Ngati muli ndi vuto la oxytocin kapena mankhwala ena aliwonse, chakudya, kapena mankhwala osungira. |
Kodi jakisoni wa oxytocin amaperekedwa bwanji ndikuyang'aniridwa bwanji?
Mankhwala awa si oti munthu atenge kunyumba. Nthawi zonse amaperekedwa kuchipatala kapena ku chipatala. Nthawi zambiri amaperekedwa pang'onopang'ono kudzera mu saline (kulowetsedwa m'mitsempha).
Chofunika kwambiri ndichakuti pamene mukupatsidwa mankhwalawa, madokotala ndi anamwino azikuyang'anirani inu ndi mwana wanu mosamala kwambiri. Kugunda kwa mtima kwa mwana kudzayang'aniridwa nthawi zonse pogwiritsa ntchito makina a CTG. Adzayang'aniranso nthawi zonse zinthu monga momwe chiberekero chanu chikukokera komanso kuthamanga kwa magazi anu.
Popeza izi zimaperekedwa moyang'aniridwa ndi dokotala, mwayi woti munthu agwiritse ntchito mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati munthu agwiritsa ntchito mopitirira muyeso wotere, ogwira ntchito kuchipatala adzachitapo kanthu nthawi yomweyo. Zikatero, adzalumikizana ndi National Poisons Information Centre ku Colombo National Hospital.Kapena chipatala chapafupi cha Emergency Treatment Unit (ETU) chidzadziwitsidwa ndipo malangizo ofunikira adzaperekedwa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala a matenda ena, ndikofunikira kudziwitsa dokotala wanu za izi, chifukwa mankhwala ena amatha kuyanjana ndi oxytocin.
- Mankhwala ena omwe amatsegula khomo lachiberekero kapena kufinya chiberekero (monga Dinoprostone, prostaglandin E2)
- Mankhwala ena omwe amatengedwa chifukwa cha kuthamanga kwa magazi
- Mankhwala omwe amagwiritsidwa ntchito popereka mankhwala oletsa dzanzi (kupweteka) panthawi ya opaleshoni
Choncho, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala achikhalidwe a Ayurvedic, mavitamini, ndi zowonjezera.
Zotsatirapo zomwe zingakhalepo za oxytocin
Monga mankhwala ena aliwonse, oxytocin ikhoza kukhala ndi zotsatirapo zina. Koma si aliyense amene angakumane nazo. Ndipo simuyenera kuda nkhawa chifukwa mudzakhala mukuyang'aniridwa nthawi zonse kuchipatala. Chofunika ndikudziwa.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu kapena namwino nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima kumachitika mofulumira kwambiri, kosasinthasintha, chizungulire, kupweteka pachifuwa. |
| Kutuluka magazi ambiri | Kutuluka magazi ambiri m'mimba mukabereka. |
| Zotsatirapo zomwe nthawi zambiri sizimayambitsa nkhawa, koma ziyenera kunenedwa ngati zikupitirira | |
| Kusanza | Kumva ngati m'mimba mwako mukugwedezeka, kumva ngati kuti ukusanza. |
| Kusanza | Kusanza. |
Kumbukirani, gulu lachipatala likusamala kwambiri ngati chiberekero chikuchepa kwambiri popereka mankhwala awa kapena ngati mwana akuvutika. Ngati pali vuto lililonse, adzasiya kupereka mankhwala nthawi yomweyo ndikuchitapo kanthu kofunikira. Choncho musachite mantha.
Uthenga Wopita Nawo Kunyumba
- Oxytocin ndi mankhwala ofunikira kwambiri omwe amathandiza kubereka, kufinya chiberekero, komanso kuletsa kutuluka magazi pambuyo pobereka.
- Mankhwalawa nthawi zonse amaperekedwa kuchipatala, moyang'aniridwa ndi dokotala.
- Uzani dokotala wanu za matenda anu, mankhwala ena omwe mumamwa, ndi ziwengo popanda kubisa chilichonse.
- Inu ndi mwana wanu mudzayang'aniridwa mosamala kwambiri pamene oxytocin ikuperekedwa, choncho musachite mantha mosayenera.
- Dziwitsani ogwira ntchito zachipatala nthawi yomweyo ngati mukukumana ndi mavuto ena monga kupuma movutikira, kugunda kwa mtima mofulumira, kapena kutuluka magazi ambiri.
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